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1972221638
RYAN LEE CHURCH
EVERETT, WA
NPI
1972221638
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA61477784)
Enumeration Date
2022-08-18
Last Update Date
2023-11-07
Business Address
RYAN LEE CHURCH PA-C
4201 RUCKER AVE
EVERETT, WA 98203-2215
Phone number: 425-382-4000
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Mailing Address
RYAN LEE CHURCH PA-C
4201 RUCKER AVE
EVERETT, WA 98203-2215
Phone number: 425-382-4000
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